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Organization
LUMINA DENTAL LLC
Active
Organization
LUMINA DENTAL LLC
Active
Other names
Lumina Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIK PATEL (PROPRIETOR)
(214) 606-3029
Entity
Organization
Contact information
Practice address
1424 S BUTTERFIELD RD, MUNDELEIN, IL 60060-9424
(847) 407-1411
(847) 407-1412
Mailing address
1424 S BUTTERFIELD RD, MUNDELEIN, IL 60060-9424
(847) 407-1411
(847) 407-1412
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/26/2024
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